go back

Unlisted Male Genital Surgery

Illinois rates for HCPCS 55899

An operation on the male genital organs that has no standard named entry of its own. It covers uncommon or newer procedures in this area rather than any one specific operation. The surgeon submits a written report describing what was done.

Rates data updated July 2026.

How much does Unlisted Male Genital Surgery cost?

$1,698

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,862 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,585$214 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,862$1,148 to $4,467

How much rates vary

Facilitymedian $1,862 · 10th to 90th $468 to $7,762Professionalmedian $1,585 · 10th to 90th $178 to $5,888
$1$10$100$1K$10Kfacility $1,862professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,584.89
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$676.08
Typical High
$2,089.30

Where Illinois sits

The same service costs 70.8 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 31st of 50

$1,698

ME $15,488WV $219

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.